1992, 06-05 Permit: 92003540 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Sx County to proceed with processing. In additionI have reaand understand the INSPECTION REQUIREMENTS/NOTICE
herein or not.I understand that the issuance of tho vap / ation and any subsequent inspection approvls or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER oRAGENT DATE
PROJECT NUMBER= 92003540 ISSUED PERMIT DATE= 06/05/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i2426 E 19TH AVE PARCELO= 27542-2i36
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — HILLCRE%T (92%-494)
*** SEE NOTE ***
PLA 4= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= SFR DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= iiO DEPTH= 125 R/W=
0 OF BLDG%= i 4 DWELLINGS= i WATER DIST = 4
OWNER= CLEVELAND, JACK D PHONE=
STREET= 12426 E i9TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 992i6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Sc" iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UmMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O6/05/92 .4240 50.:00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
________------- ------------- ------------ ------------- |
SEWER PERMIT 50.00 50.00 . 00
------------- ------------
50.00 50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, �A% PIPINGWATER LINES, ECT.
' '
CALL BEFORE YOU DIG (456-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CON ECTIGN TOINSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PEC ION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************